| NPI | 1417135625 |
|---|---|
| Doing Business As | TUCKER FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JONATHAN DANIEL TUCKER Owner 512-260-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: TX 22102) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-06-23 |